There was an encoding problem that caused display errors for some readers of the HTML version of the July 7 issue of Midwifery Today E-News. Corrections appear below; you may view the corrected version online here: http://www.midwiferytoday.com/enews/enews1214.asp
In Jan’s Corner, the following sentences are corrected:
- Each day, eat 80–100 grams of protein with lots of fruits and vegetables, salt your food to taste, and drink 8–12 glasses of water.
- Those abused women tell their stories to others, and because there are so few good stories—maybe 1–2%—the cycle continues.
In Research, the following is the corrected source:
- Checkley, W., et al. 2010. Maternal Vitamin A Supplementation and Lung Function in Offspring. N Eng J Med 362: 1784–94.
In Question of the Week Responses, the following sentence is corrected:
- Since then we have had a few moms push 2–3 hours at home then another 2 hours in-hospital and they have had good, vaginal births there in the end, but nothing has topped that first one!
The Accidental Good Birth
The first and most dangerous intervention is when you step over your home’s threshold to give birth. Or, maybe I should say it’s when you step inside a hospital for a normal birth, because birth centers are a great option for birth. Hospitals, it seems, are in the business of making more business. The philosophies held by many physicians and some of the nurses are pure myth. It is so sad to read the many horror stories lately as mommas send in their articles. Most times they have discovered midwives and followed up a bad experience with a good one, like I did.
I did hear a great hospital birth story this week, though. I call it the “accidental good birth.” My friend told me this story:
My friend was to accompany a young woman from our church during her birth. The young woman (I’ll call her Mary) went to the hospital in what she thought was labor, but the midwife and nurse sent her home because it was too early. Now, sending someone home is something they used to do all the time, but recently hospital staff is more likely to just admit the woman too early, induce or augment the labor, and start the “cascade of interventions.” But this blessed woman got sent home. She did this three times and was sent home each time. My friend was with her most of this time. When Mary started to get the catch in her breath that indicated possible pushing, my friend (who has four children!) knew it was really time to go. They got to the hospital and Mary had her baby about 30 minutes later. Mary is just beaming these days at church. She is happy with her baby and her birth.
Now, if we had more of those points of light working in the hospital, sending women home instead of hooking them up, wouldn’t we have a totally different birthing system? Or at least a good start! Thank you to those practitioners who work in the belly of the beast to make things better for birthing families. You know who you are, and we owe you a debt of gratitude.
— Jan Tritten, mother of Midwifery Today
Jan Tritten is the founder, editor-in-chief and mother of Midwifery Today magazine. She became a midwife in 1977 after the amazing homebirth of her second daughter. Her mission is to make loving midwifery care the norm for birthing women and their babies throughout the world. Meet Jan at our conferences around the world, or join her online, as she works to transform birth practices around the world.
Jan’s blog: community.midwiferytoday.com/blogs/jan/default.aspx
Jan on Twitter: twitter.com/jantritten
Midwifery Today on Facebook: facebook.com/midwiferytoday
International Alliance of Midwives on Facebook: facebook.com/IAMbirth
Freedom for Family Wellness: the Conference for Conscious Choice
Connect, collaborate and expand at this enlightening event for leaders in the vitalistic movement.
October 21–24, Washington, DC: Holistic Practitioners: DCs, NDs, MDs, PhDs, OBs, Midwives, Doulas, Homeopaths, Acupuncturists, Family Wellness Counselors, Consultants and Therapists. Advocates for Informed Choice: leaders of national groups and their members… Visit http://familywellnessfirst.org/.
Pesticide Exposure Linked to ADHD in Children
A recent study published in the journal Pediatrics says children who have a greater exposure to pesticides, mainly through diet, are more likely to have attention-deficit/hyperactivity disorder (ADHD). The study examined ADHD levels and markers of pesticide exposure through urine samples in more than 1,100 children between the ages of 8 and 15 years. Researchers found that, as the levels of pesticides in the body increased, so did the prevalence of ADHD.
— Maryse, F., et al. 2010. Organophosphate Pesticides: Attention-Deficit/Hyperactivity Disorder and Urinary Metabolites of. Pediatrics. DOI: 10.1542/peds.2009-3058 Accessed 19 May 2010.
Are You an RN Searching for a Proven Online MSN?
Are you ready to enhance your career and develop a higher level of patient care? The University of Cincinnati’s CCNE-accredited MSN program combines the prestigious College of Nursing with flexible online studies. You can perform your clinicals in your own community, gain expert knowledge, and graduate in just over two years. This program is 100% online. Learn more.
Questioning the Widespread Use of Synthetic Oxytocin
The most common medical intervention is undoubtedly the use of drips of synthetic oxytocin. Most women who had a non-operative delivery by the vaginal route had a drip of oxytocin. Most women who had an operative delivery by the vaginal route also had hours of drip before the use of forceps or ventouse. Most women who had an in-labor c-section also had synthetic oxytocin before the decision to operate. Furthermore, the rates of labor inductions are very high in many countries and, in practice, labor induction implies hours of intravenous drip.
One should first wonder why the use of intravenous oxytocin during labor is perceived as a detail not worth mentioning in statistics. The main reason might be that the nonapeptide oxytocin is not considered a real medication because, from a chemical perspective, the synthetic form is not different from the natural hormone. Another reason might be that oxytocinases (enzymes that metabolize biologically active peptides) have been found in the placenta. This might have led to the tacit conclusion that synthetic oxytocin does not cross the placenta.
On the day when we realize that most women, all over the world, receive synthetic oxytocin when giving birth, we’ll give paramount importance to new questions, particularly about placental transfer of peptides. Paradoxically, there is only one serious published article on this issue.(1) After measuring concentrations of oxytocin in maternal blood, and also in the blood of the umbilical vein and of the umbilical arteries, and after perfusions of placental cotyledons, a team from Arkansas came to the conclusion that oxytocin crosses the placenta in both directions. More precisely, the permeability is higher in the maternal-to-fetal than in the fetal-to-maternal direction. We must add that 80% of the blood reaching the fetus via the umbilical vein goes directly to the inferior vena cava via the ductus venosus, bypassing the liver, and therefore immediately reaching the brain: it is all the more direct since the shunts (foramen ovale and ductus arteriosus) are not yet closed.
Since there is a high probability that a significant amount of synthetic oxytocin can reach the brain of the fetus, we must raise questions regarding the permeability of the blood-brain barrier at this phase of human development. Australian researchers have presented evidence that the permeability to small lipid-insoluble molecules is greater in the developing brain and that specific mechanisms, such as those involved in transfer of amino acids, develop sequentially as the brain grows.(2) Furthermore, it appears that the permeability of the blood-brain barrier can increase in situations of oxidative stress(3–5)—a situation that is common when drips of synthetic oxytocin are used during labor.(6) We have, therefore, serious reasons to be concerned if we take into account the widely documented concept of “oxytocin-induced desensitization of the oxytocin receptors.”(7–10) In other words, it is probable that, at a quasi-global level, we routinely interfere with the development of the oxytocin system of human beings at a critical phase for gene-environment interaction. In such a new situation, the priority is to phrase appropriate new questions at a cultural level—questions that would induce a new generation of research.
- Malek, A., E. Blann and D.R. Mattison. 1996. Human placental transport of oxytocin. J Matern Fetal Med 5(5): 245–55.
- Saunders, N.R., M.D. Habgood and K.M. Dziegielewska. 1999. Barrier mechanisms in the brain, II. Immature brain. Clin Exp Pharmacol Physiol 26(2): 85–91.
- Noseworthy, M., and T. Bray. 1998. Effect of oxidative stress on brain damage detected by MRI and in vivo 31P-NMR. Free Radic Biol Med 24: 942–51.
- Anagnostakis, D., et al. 1992. Blood-brain barrier permeability in healthy infected and stressed neonates. J Pediatr 121: 291–94.
- Noseworthy, M., and T. Bray. 2000. Zinc deficiency exacerbates loss in blood-brain barrier integrity induced by hyperoxia measured by dynamic MRI. Proc Soc Exp Biol Med 223(2): 175–82.
- Schneid-Kofman, N., et al. 2009. Labor augmentation with oxytocin decreases glutathione level. Obstet Gynecol Int 2009: 807659. E-pub. 16 Apr 2009.
- Robinson, C., et al. 2003. Oxytocin-induced desensitization of the oxytocin receptor. Am J Obstet Gynaecol 188(2): 497–502.
- Gimpl, G., and F. Fahrenholz. 2001. The oxytocin receptor system: structure, function and regulation. Physiol Rev 81(2): 629–83.
- Phaneuf, S., et al. 2000. Loss of myometrial oxytocin receptors during oxytocin-induced and oxytocin-augmented labour. J Reprod Fertil 120(1): 91–97.
- Phaneuf, S., et al. 1998. Desensitization of oxytocin receptors in human myometrium. Hum Reprod Update 4(5): 625–33.
— Michel Odent
Excerpted from "If I Were the Baby: Questioning the Widespread Use of Synthetic Oxytocin," Midwifery Today, Issue 94
View table of contents / Order the back issue
How can midwives help women have normal births despite the threat of unnecessary technology?
Read the Spring 2008 issue of Midwifery Today and find out. You’ll find informative articles such as “Choose and Lose: Promoting Cesareans and Other Invasive Interventions” by Marsden Wagner and “The Future of Obstetric Technology” by Michel Odent. Other articles include “Helping Women Avoid Unnecessary Interventions,” “Technology and Fear” and “Episiotomy, Hospital Birth and Cesarean Section: Technology Gone Haywire.” This important issue belongs on your midwifery bookshelf!
Placenta rituals, remedies and recipes…
…are what you'll find in Placenta: The Gift of Life. Read this book to discover the various ways placentas have been used by people around the world and throughout the ages. You'll also find 15 recipes that will show you how to use the placenta in ointments, essences and other remedies for a variety of ailments. Placenta: The Gift of Life is a book from Motherbaby Press, an imprint of Midwifery Today.
Learn about mother and baby care from Anne Frye.
Care of the Mother and Baby from the Onset of Labor through the First Hours after Birth is packed with over 1300 pages of detailed, otherwise hard-to-find information. You'll find a discussion of basic anatomy and physiology, an excellent chapter on fetal-to-newborn cardiopulmonary transition, information about supporting a woman through each phase of labor, a discussion of complex and uncommon labor situations and much more. This book is the second volume in Anne Frye's Holistic Midwifery series. Get the book.
Celebrate Birth with Mexican Art
Put excitement on your walls with four colorful Mexican art prints celebrating birth and midwifery. These lively creations also make wonderful gifts. Click here.
|"I am opening up in sweet surrender|
to the beautiful baby in my womb."
Watch "Of Nature and Birth"—a DVD slide show by Harriette Hartigan—for a powerful affirmation of how we can and should trust birth. Order this DVD for a beautiful beginning for your presentations to birthing classes. Add it to your lending library as encouragement for a pregnant woman to open as a flower on her birth day. Order the DVD.
Prepare your body for birth with The Pink Kit Package.
This multi-media kit includes exercises in directed breathing and common body language and touch. You'll learn how you and your partner can take an active role in the birth process. If you're a midwife or doula, you need this to share with your clients.
Order The Pink Kit.
Want the whole story?
Subscribe to Midwifery Today print magazine and four times a year you'll receive 72 pages filled with complete articles, birth stories, stunning birth photography and more. Midwifery Today E-News is just a taste of what you'll find in Midwifery Today magazine. Subscribe.
Web Site Update
Read this article excerpt from the brand-new issue of Midwifery Today, Summer 2010:
Read these reviews from Midwifery Today newly posted to our Web site:
Reach thousands with a Web column ad!
Be included in our heavily trafficked Web site with a Web column ad. For just $200 a month your ad (linked to your Web site) can be seen on our article pages and our archived Midwifery Today E-News newsletter pages. [ Learn More ]
Education Opportunities Page
Reach prospective students online with our Education Opportunities Page. It is the solution for promoting your midwifery education programs and CE courses. [ Learn More ]
Direct Mail Opportunity
Reach thousands of customers quickly and easily with Midwifery Today's Holiday Pack Direct Mailing. Let us do the work for you with this holiday tradition. [ Learn More ]
Contact our Advertising Director at: email@example.com
View more advertising options at: http://www.midwiferytoday.com/ads/
Question of the Week
Q: Do you induce labor with herbs, homeopathy or other natural remedies in your practice? If you do induce, what are the reasons for the induction?
— Midwifery Today staff
SEND YOUR RESPONSE to firstname.lastname@example.org with "Question of the Week" in the subject line. Please indicate the topic of discussion *and the E-News issue number* in the message.
You want to be a midwife, but where do you start?
Are you an aspiring midwife who’s looking for the right school? Or maybe you’re trying to decide if midwifery is the path for you. Visit our Better Birth Education Opportunities page to discover ways to start or continue your education.
Become a Certified Dancing For Birth Instructor!
Energize ~ Empower ~ Enlighten
A great addition to your offerings for expectant and new moms. Classes combine the joy of dance (Belly dance/Latin dance/African dance) with essential birth wisdom! Think you can't dance? Think again! No prior experience or certifications required. As seen on CBS, NBC.
Next trainings: August 15 Albuquerque NM,
September 25–26 Omaha, NE
For more cities/dates www.DancingForBirth.com 866-643-4824
Question of the Week Responses
Q: What was the longest second stage you've experienced and how did mom and baby pull through?
— Midwifery Today staff
A: The longest second stage that I have witnessed as a childbirth professional was five hours. The mother was 42 weeks LMP and consented to induction by release of membranes. Labor progressed beautifully to second stage without issue. Upon being diagnosed as complete by the nursing staff and feeling the urge to push, the mother actively participated in birthing her baby. Position changes included upright, squatting, toilet, hands-and-knees, side lying and lithotomy without fetal progress past +2. About three hours into the second stage, the mother started to experience uteral pain at the placental site during each push. Epidural anesthesia was the next option, and gave the mother time to rest while her body pushed. Pitocin was started at a low drip, but the baby did not tolerate the addition of Pitocin.
A surgical birth was consented to at five hours after the start of active pushing. While the provider diagnosed cephalopelvic disproportion, the baby was found to have a short cord that went from belly, over fetal shoulder to the placenta which was at the baby’s back. The placental pain was due to the baby’s body pulling the umbilical cord down on each push, pulling on the placenta. Both mother and baby did fine. Baby tolerated the second stage beautifully until the Pitocin. This mother went on to have three VBACs! Her last baby was ounces bigger than her first baby, who was 9 lb 4 oz at birth.
— Chantel Haynes, LPN, doula, ADNS
A: My longest second stage was 7-1/2 hours. Mom had a mild hemorrhage and baby boy did just fine.
— Anne Sommers, LM
Responses to any Question of the Week may be sent to E-News at any time. Write to email@example.com. Please indicate the topic of discussion *and the E-News issue number* in the subject line or in the message.
Think about It
Avoiding an Unnecessary Induction
- Refuse an elective induction, that is, an induction for convenience.
- Refuse an ultrasound to determine fetal weight.
- Refuse an induction for a suspected large baby.
- Don’t permit your due date to be changed based on an ultrasound done later than 13 weeks’ gestation.
— Henci Goer
Excerpted from The Thinking Woman’s Guide to a Better Birth
Periglow, the best to support the perineum after birth. Periglow is a ready-to-use Swiss compress to promote healing the first weeks after giving birth. As a soak or bath. http://www.periglow.com
I am a Licensed CPM with a busy homebirth practice in Lynchburg, VA, looking for an experienced midwife who would like to join me. More information: www.LynchburgMidwifery.com or Leslie@LynchburgMidwifery.com .
Florida School of Traditional Midwifery, Gainesville, Florida, seeking an Academic Director. Bachelor's degree, experience in academic aspects of a school or training facility, knowledge of Midwifery Education, preferred. More information: www.midwiferyschool.org .
Apprenticeship opportunity! Northern New Mexico Birth Center, nestled in the foothills of the Sangre de Cristo mountains, has an opening! Incredible hands-on experience! Become LM and CPM. www.nnmbirthcenter.org Join our team!
Organic bedding, cribs, Naturepedic mattresses, baby clothes, non-toxic furniture, unique gifts, and more. Free shipping on most items, no sales tax. www.gonaturalbaby.com
Tell our readers about your business. Just $35/issue ($125 for four) gives you 30 words to promote your products or services. http://www.midwiferytoday.com/ads/enews.asp or firstname.lastname@example.org
Remember to share this newsletter
You may forward it to as many friends and colleagues as you wish—it’s free!
Want to stop receiving E-News or change your e-mail address? Or would you like to subscribe? Then please visit our easy-to-use subscription management page.
On this page you will be able to:
- start receiving any of our e-mail newsletters
- stop receiving any of our e-mail newsletters
- change the version (text or HTML) that you receive
- change the e-mail address to which newsletters are delivered
If you have difficulty, please send a complete description of the problem, including any
error messages, to our newsletter.
Learn even more about birth!
Midwifery Today Magazine—mention code 940 when you subscribe.
| ||1-Year Subscription||2-Year Subscription|
|Canada / Mexico||$65||$125|
|All other countries||$75||$145|
E-mail email@example.com or call 1-800-743-0974 to learn how to order.
Or subscribe online.
How to order our products mentioned in this issue:
Secure online shopping
We accept Visa and MasterCard at the Midwifery Today Storefront.
Order by postal mail
We accept Visa; MasterCard; and check or money order in U.S. funds.
Midwifery Today, Inc.
PO Box 2672
Eugene, OR 97402, USA
Order by phone or fax
We accept Visa and MasterCard.
Phone (U.S. and Canada; orders only): 1-800-743-0974
Phone (worldwide): +1 541-344-7438
Fax: +1 541-344-1422
E-News subscription questions or problems
Editorial submissions, questions or comments for E-News
Editorial for print magazine
For all other matters
All questions and comments submitted to Midwifery Today E-News become the property of Midwifery Today, Inc. They may be used either in full or as an excerpt, and will be archived on the Midwifery Today Web site.
Midwifery Today E-News is published electronically every other Wednesday. We invite your
questions, comments and submissions. We’d love to hear from you! Write to us at:
firstname.lastname@example.org. Please send submissions in the body of your message and not
This publication is presented by Midwifery Today, Inc., for the sole purpose of disseminating general health information for public benefit. The information contained in or provided through this publication is intended for general consumer understanding and education only and is not intended to be, and is not provided as, a substitute for professional medical advice, diagnosis or treatment.
Midwifery Today, Inc., does not assume liability for the use of this information in any jurisdiction or for the contents of any external Internet sites referenced, nor does it endorse any commercial product or service mentioned or advertised in this publication. Always seek the advice of your midwife, physician, nurse or other qualified health care provider before you undergo any treatment or for answers to any questions you may have regarding any medical condition.
The content of E-News is copyrighted by Midwifery Today, Inc., and, occasionally, other rights holders. You may forward E-News by e-mail an unlimited number of times, provided you do not alter the content in any way and that you include all applicable notices and disclaimers. You may print a single copy of each issue of E-News for your own personal, noncommercial use only, provided you include all applicable notices and disclaimers. Any other use of the content is strictly prohibited without the prior written permission of Midwifery Today, Inc., and any other applicable rights holders.
© 2010 Midwifery Today, Inc. All Rights Reserved.
Midwifery Today: Each One Teach One!